diff --git a/openhis-ui-vue3/src/action/nurseStation/temperatureSheet/drawfn.js b/openhis-ui-vue3/src/action/nurseStation/temperatureSheet/drawfn.js
index f7908a5c0..67e8bca52 100755
--- a/openhis-ui-vue3/src/action/nurseStation/temperatureSheet/drawfn.js
+++ b/openhis-ui-vue3/src/action/nurseStation/temperatureSheet/drawfn.js
@@ -166,14 +166,18 @@ export function getData(allData) {
   const OLD_CODE_MAP = { '004': '014', '005': '002', '006': '001' };
   rowsData.forEach(row => {
     if (row.rowBOS) {
-      const extraItems = [];
+      const prependItems = [];
       row.rowBOS.forEach(item => {
         const newCode = OLD_CODE_MAP[item.typeCode];
-        if (newCode && !row.rowBOS.some(i => i.date === item.date && i.times === item.times && i.typeCode === newCode)) {
-          extraItems.push({ ...item, typeCode: newCode });
+        // 始终添加映射条目，用 unshift 插入数组头部
+        // 这样 getType 的 find() 优先匹配映射后的编码（如脉冲、呼吸）
+        // 即使存在同编码的旧条目（如血压舒张压用 002、收缩压用 001），
+        // 映射后的脉搏(002)和呼吸(001)条目排在前面，确保图表正确渲染
+        if (newCode) {
+          prependItems.push({ ...item, typeCode: newCode });
         }
       });
-      row.rowBOS.push(...extraItems);
+      row.rowBOS.unshift(...prependItems);
     }
   });
   const infoData = allData.grParamBOS;
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue
index aae2bc6ac..a41b46cd6 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue
@@ -999,22 +999,24 @@ function confirmCharge() {
     vitalSignsCode.push('003');
     vitalSignsValues.push(params.temperature);
   }
-  if (params.systolicPressure && params.diastolicPressure) {
-    vitalSignsCode.push('001', '002');
-    vitalSignsValues.push(params.systolicPressure, params.diastolicPressure);
-  }
   if (params.heartRate) {
     vitalSignsCode.push('014');
     vitalSignsValues.push(params.heartRate);
   }
+  // 脉搏(002)排血压舒张压(002)之前，确保图表getType('002')优先匹配脉搏
   if (params.pulseRate) {
     vitalSignsCode.push('002');
     vitalSignsValues.push(params.pulseRate);
   }
+  // 呼吸(001)排血压收缩压(001)之前，确保图表getType('001')优先匹配呼吸
   if (params.respirationRate) {
     vitalSignsCode.push('001');
     vitalSignsValues.push(params.respirationRate);
   }
+  if (params.systolicPressure && params.diastolicPressure) {
+    vitalSignsCode.push('001', '002');
+    vitalSignsValues.push(params.systolicPressure, params.diastolicPressure);
+  }
   if (params.bloodOxygen) {
     vitalSignsCode.push('021');
     vitalSignsValues.push(params.bloodOxygen);